WEST MAIN DENTAL
NPI 1730839622
Clinic/Center - Dental in Raymond, MS

Active since March 24, 2022
450 W MAIN ST, RAYMOND, MS 39154(601) 857-5021 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About WEST MAIN DENTAL

This page provides the complete NPI Profile along with additional information for West Main Dental, a provider established in Raymond, Mississippi operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1730839622 assigned on March 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Madison English Smith Dmd (Owner)

NPI
1730839622 Verify this NPI
Provider Name
WEST MAIN DENTAL
Entity Type
Organization
Location Address
450 W MAIN ST RAYMOND, MS 39154
Location Phone
(601) 857-5021
Mailing Address
PO BOX 477 RAYMOND, MS 39154
Mailing Phone
(601) 559-5529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2022
Last Update Date
03-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MADISON ENGLISH SMITH DMD

Authorized Official Title
OWNER
Authorized Official Phone
(601) 559-5529

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
450 W MAIN ST
RAYMOND, MS 39154
Clinic/Center (Dental)
450 W MAIN ST
RAYMOND, MS 39154

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730839622, enumerated as an "organization" on March 24, 2022.

The provider is located at 450 W MAIN ST RAYMOND, MS 39154 and the phone number is (601) 857-5021.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.